Medical Insurance Made Easy: Understanding the Claim Cycle

This combination textbook and workbook, explains each phase of the medical claim cycle, from the time the patient calls for an appointment until the financial transaction for the encounter is completed. Coverage includes types of insurance payers, basic coding and billing rules, and standard requirements for outpatient billing using the CMS-1500 claim form. It also emphasizes legal aspects related to each level of the medical claim cycle and the importance of the medical office employee, showing their responsibility for and impact on successful reimbursement.

• 3 separate chapters offer coverage of the basic concepts of medical coding.
• A comprehensive overview of the CMS-1500 claim form with step-by-step guidelines and illustrations thoroughly covers reimbursement issues and explains the billing process.
• Includes detailed information on various insurance payers and plans including Medicare, government medical plans, disability plans, private indemnity plans, and managed care.
• Stop & Review sections illustrate how the concepts presented in each chapter relate to real-life billing situations.
• Sidebars and Examples highlight key concepts and information related to the core text lesson.
• A companion CD-ROM contains sample patient and insurance information that readers can use to practice completing the accompanying CMS-1500 claim form, as well as a demonstration of Altapoint practice management software.

• Features completely updated information that reflects the many changes in the insurance industry.
• Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities.
• Includes a new appendix, Quick Guide to HIPAA for the Physician’s Office, to provide a basic overview of the important HIPAA-related information necessary on the job.

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Principles of Corporate Finance, Concise (McGraw-Hill/Irwin Series in Finance, Insurance and Real Estate) Reviews

Throughout Principles of Corporate Finance, Concise the authors show how managers use financial theory to solve practical problems and as a way of learning how to respond to change by showing not just how but why companies and management act as they do. The first ten chapters mirror the Principles text, covering the time value of money, the valuation of bonds and stocks, and practical capital budgeting decisions. The remaining chapters discuss market efficiency, payout policy, and capital structure, option valuation, and financial planning and analysis.

The text is modular, so that Parts can be introduced in an alternative order.

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Medical Insurance Coding Workbook for Physician Practices 2005 edition

Medical Insurance Coding Workbook offers numerous exercises for students to practice ICD and CPT coding. This workbook can be used with Valerius’ Medical Insurance or any other medical insurance text.

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Financial Institutions Management: A Risk Management Approach (McGraw-Hill/Irwin Series in Finance, Insurance and Real Estate)

Saunders and Cornett's Financial Institutions Management: A Risk Management Approach 7/e provides an innovative approach that focuses on managing return and risk in modern financial institutions. The central theme is that the risks faced by financial institutions managers and the methods and markets through which these risks are managed are becoming increasingly similar whether an institution is chartered as a commercial bank, a savings bank, an investment bank, or an insurance company. Although the traditional nature of each sector's product activity is analyzed, a greater emphasis is placed on new areas of activities such as asset securitization, off-balance-sheet banking, and international banking.

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Dairy Processing and Quality Assurance

Dairy Processing and Quality Assurance gives a complete description of the processing and manufacturing stages of market milk and major dairy products from the receipt of raw materials to the packaging of the products, including quality assurance aspects. Coverage includes fluid milk products; cultured milk and yogurt; butter and spreads; cheese; evaporated and condensed milk; dry milks; whey and whey products; ice cream and frozen desserts; refrigerated desserts; nutrition and health; new product development strategies; packaging systems; and nonthermal preservation technologies; safety and quality management systems; and dairy laboratory analysis.

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Medical Insurance for Pharmacy Technicians

Medical Insurance for Pharmacy Technicians provides a practical, focused overview of medical insurance and billing of prescriptions in the community pharmacy setting. Each chapter is structured to give students a hands-on, practical approach to understanding and working with prescription charges and the billing process. This text is precisely tailored for a brief introduction to the fundamental understanding of claim processing principles for pharmacy technicians.

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Assurance: How to Know you are a Christian Reviews

It is right to have confidence in your Christian life, if that confidence stems from God's saving power. J. C. Ryle shows us that assurance is something every Christian should desire. There are steps we can take in our search for that goal; these are clearly marked out for us by Ryle. Do you know that you are part of God's family?

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Health Insurance Today: A Practical Approach

Learn to complete and submit clean claim forms for major insurance carriers. Health Insurance Today, 3rd Edition, provides case studies for each of the chapters covering these major payers so you can learn how to abstract the information from the patient’s chart to complete the CMS-1500. You will learn to complete and submit paper claims, but the emphasis is on electronic claims filing, keeping you up-to-date on HIPAA, electronic health records, and the latest industry standards. Select exercises on the companion Evolve Resource site let you gain experience entering information into a practice management program; producing an electronic CMS-1500; and submitting a claim electronically.

• Learning objectives makes learning easier and more meaningful
• Direct, conversational writing style makes reading and absorbing the material more enjoyable
• “What Did You Learn?” review questions ensure that you understand the material already covered, before progressing to the next section.
• “Imagine This!” scenarios help you apply information from the book to real-life situations
• “Stop and Think” exercises let you apply critical thinking skills to solve a problem or answer a question.
• HIPAA Tips help you understand this very important piece of legislation.
• Activities on the Evolve site give you hands-on practice electronically completing a claim form as efficiently as possible.

• More content on electronic medical records to reflect the future of record-keeping
• Thoroughly updated chapters include more in-depth information and guidelines on achieving and succeeding in a health insurance career
• Revised information covering the latest Medicare updates keeps you in-step with the latest Medicare practices
• Chapters include more content on ICD-10-CM, ICD-10-PCS, and updates to the CPT and HCPCS so you know all the latest information in the field

• Medisoft Activities on the Evolve Learning Resource site help to reinforce information and provide additional opportunities for practice

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Mega-Selling: Secrets of a Master Salesman Reviews

When David Cowper began his insurance career, he was alone in a new country with no contacts and only forty dollars in his pocket. Three months after entering the business, he still hadn t sold a single policy. But David stuck with it to routinely make million-dollar sales and become one of the top insurance salespeople in the world.

More than a rags-to-riches story, Mega-Selling is a first-hand account of the unique strategies David developed to penetrate new markets and close multi-million-dollar sales. With Mega-Selling, any salesperson can learn from the best and become a top performer.

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Live Your Life Insurance: An Age-Old Approach Revitalized

“Live Your Life Insurance” shows you exactly how you can take advantage of one of the most common, but misunderstood, financial tools. In it, you’ll discover exactly how you can use your life insurance to benefit you while you are alive — and help you build financial security. In addition, it will reveal ways to make the best of your policy no matter what age you are. Most people don’t realize what a powerful tool they have in their life insurance policies — this book will be your guide.

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Life and Health Insurance, 13th Edition

This current, accurate and detailed industry guide for financial service professionals examines life and health insurance simultaneously from the viewpoints of the buyer, the advisor, and the insurer—providing a comprehensive and unbiased treatise on individual and group life; a forthright appraisal of life and health insurance industry products with careful consideration of the environment; and a complete examination of life insurance company operations and regulation. Bases financial treatment of life insured operations on modern financial theory, and devotes entire chapters to the economics of life and health insurance; individual life and health insurance policies; life and health insurance evaluation; the uses of life and health insurance in personal and business planning; government and employee benefit plans; and the management, operation, and regulation of life insurance companies. Offers a strong global orientation, supporting fundamental concepts with an extensive integration of economic and financial theory and international comparisons, and examines how today’s health insurance products fit into a broad framework from a contractual, cost, and performance viewpoints. New chapters on the tax treatment of life and health insurance address such areas as estate planning, retirement planning, and the business uses of life and health insurance. For financial planners, salesmen, actuaries, investment managers, attorneys, CPAs, and other financial service professionals.

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Assuring IT Governance (Assurance Services)

Depending on the abstraction level, IT governance can be viewed as a framework, methodology, or technique. As a framework, IT governance enables a "system of controls" assisting in assuring organizational goals and objectives are achieved effectively and efficiently. As a methodology, IT governance furnishes a description of the role entity direction and controls play in achieving information systems objectives. Lastly, as a technique, IT governance provides processes and steps that can generate superior financial and/or reputational returns for stakeholders.

Whatever your perspective may be, the importance of effective and efficient IT governance cannot be overlooked in the current global high technology environment. Considering what is at stake politically, economically and technically for most organizations; usually justifying IT governance deployment based on one viewpoint narrows suitability and expected benefits. In the final analysis, combining the potential individual abstraction levels may be the most appropriate support for implementing IT governance.

"Assuring IT Governance" was written with the intent to create quality quick reference material for assurance service practitioners. Therefore, this pocket guide is appropriate for entity employees interested in ensuring, or verifying, the design and deployment of IT Governance. As for content; Audit Managers, Chief Compliance Officers, Chief Information Officers, Auditors, Information Technology professionals, and Control Self Assessment personnel will find this pocket guide an informative, and authoritative, IT Governance document.Depending on the abstraction level, IT governance can be viewed as a framework, methodology, or technique. As a framework, IT governance enables a "system of controls" assisting in assuring organizational goals and objectives are achieved effectively and efficiently. As a methodology, IT governance furnishes a description of the role entity direction and controls play in achieving information systems objectives. Lastly, as a technique, IT governance provides processes and steps that can generate superior financial and/or reputational returns for stakeholders.

Whatever your perspective may be, the importance of effective and efficient IT governance cannot be overlooked in the current global high technology environment. Considering what is at stake politically, economically and technically for most organizations; usually justifying IT governance deployment based on one viewpoint narrows suitability and expected benefits. In the final analysis, combining the potential individual abstraction levels may be the most appropriate support for implementing IT governance.

"Assuring IT Governance" was written with the intent to create quality quick reference material for assurance service practitioners. Therefore, this pocket guide is appropriate for entity employees interested in ensuring, or verifying, the design and deployment of IT Governance. As for content; Audit Managers, Chief Compliance Officers, Chief Information Officers, Auditors, Information Technology professionals, and Control Self Assessment personnel will find this pocket guide an informative, and authoritative, IT Governance document.

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Insult to Injury: Insurance, Fraud, and the Big Business of Bad Faith

Joan Hangarter bought a disability policy in 1990 to protect her in case of serious illness. When she did become disabled a decade later, she ended up homeless and on welfare when the company refused to pay. With the help of her attorney, Ray Bourhis, she fought back, winning a .7 million verdict against the company.
In “Insult to Injury, Bourhis walks readers through this case study in bad faith double-dealing by insurance providers. Bourhis, a national champion of policy-holder rights, uses an engaging narrative style to reveal the back-room strategic mind-set that drives these illegal practices, how low-level employees are duped into unethical conduct, and how insurers manipulate data and witnesses in the few cases that do go to trial. He also explains the key regulatory oversights that encourage such corruption, and how the American legal system actually facilitates insurer fraud. “Insult to Injury closes with a roadmap to reform — advice no one who holds a policy can afford to ignore.

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Modelling Extremal Events: for Insurance and Finance (Stochastic Modelling and Applied Probability)

“A reader’s first impression on leafing through this book is of the large number of graphs and diagrams, used to illustrate shapes of distributions…and to show real data examples in various ways. A closer reading reveals a nice mix of theory and applications, with the copious graphical illustrations alluded to. Such a mixture is of course dear to the heart of the applied probabilist/statistician, and should impress even the most ardent theorists.” –MATHEMATICAL REVIEWS

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The Claim Game: A Homeowner's Guide to Avoiding an Insurance Catastrophe

In these troubled economic times a home is a precious commodity. Protecting that investment has never been more important for homeowners and property owners. When Mother Nature or good old fashion bad luck cause damage to a property, homeowners turn to their insurers to help them restore their property.

Insurers, meanwhile, are as equally interested in enhancing their bottom lines as homeowners are in protecting their investment. When these interests collide, the claim game begins and the fight to protect your home and get what is owed you becomes a high stakes game of chance. Without the right guidance, without knowing the Rules of the Game, rules written by and for the insurers, you could find yourself on the losing end.

The Claim Game: A Homeowner s Guide to Avoiding an Insurance Catastrophe levels the playing field between homeowners and insurers by giving homeowners the knowledge and tools needed to empower themselves so that they can get every penny owed them and claim victory.

Discover the secrets to homeowners insurance settlement with the only step-by-step guide to property insurance claims written by an insurance insider. Exposing little-known methods that enable you to expedite your claim and get every penny owed you, The Claim Gameis your comprehensive resource for property damage claims.

The Claim Game will teach you how to:
-Settle claims quickly and fairly.
-Reduce or eliminate your deductible.
-Decipher your insurance policy so it makes sense.
-Discover hidden coverages that protect you and save money.
-Organize claim information to expedite your claim.
-Get a denied claim covered.
-Understand an estimate from a contractor or an insurer.
-Select the right contractor to repair your home or property.

Also included:
-Claim-specific guidance for many types of losses including hurricane, tornado, earthquake, hail, fire and many others.
-An in-depth examination of the most common issues and concerns homeowners encounter.

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Health Insurance Resources: A Guide for People with Chronic Disease and Disability

This important resource contains a variety of options for people living with disability and chronic health conditions maximize their rights and entitlements within the health care system. It is an indispensable resource for anyone who is uninsured, underinsured, or who has questions about insurance and doesn't know where to begin. Updated to reflect changes since the first edition, the book contains information on Medicaid, Social Security disability insurance, SSI, COBRA, state high risk pools, pharmacy assistance programs, and much more.

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ACL's Acquisition of Black Pearl: Powering Business Assurance Analytics Reviews

This IDC Flash covers ACL Services Ltd.’s acquisition of Black Pearl’s intellectual property, a decision management software product. ACL is a provider of computer-assisted audit technology and transactional data analysis software that complement internal controls monitoring in support of compliance and business assurance analytics.

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Introduction to Aviation Insurance and Risk Management

The third edition of Introduction to Aviation Insurance and Risk Management has provided the opportunity to improve the book and extend its life into the 21st Century. Old material has been deleted and newer, more timely material added. Unlike the previous editions a number of industry professionals have contributed to the new version. Despite these changes the primary purpose of the book remains the same–to introduce the basic principles of insurance and risk with their special application to the aviation industry. It has been designed for several similar, yet distinct audiences: the college student, corporate pilots or fixed base operators, and individuals in the insurance business.

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The Race Set Before Us: A Biblical Theology of Perseverance & Assurance

Discipline. Endurance. Perseverance. The New Testament often describes the Christian life as a marathon, a race set before us. But what exactly is the prize? Do all those completing the race share in it? And can the prize be lost? Tackling these and other vexing questions, Thomas Schreiner and Ardel Caneday offer in this book a serious, exegetical wrestling with the biblical understanding of the nature of saving faith and its implications for the people of God. Here is a foundational study that considers all of the relevant New Testament texts and that weighs the meaning of those texts for both Christian living and pastoral ministry.

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Quality Assurance in Higher Education: Trends in Regulation, Translation and Transformation (Higher Education Dynamics) Reviews

By bringing together leading experts on quality assurance in higher education from seven countries (from Europe, the USA and South Africa), this volume intends to go several steps further than most publications on the same subject. Containing comprehensive discussion of the most relevant trends in quality assurance regulation, translation and transformation, researchers and policy makers will find an engaged, academic reflection on how quality assurance is embedded in higher education and in a dynamic way to assess its impacts and potential improvements.

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Natural Gas Hydrates in Flow Assurance

With millions of kilometres of onshore and offshore oil and gas pipelines in service around the world, pipelines are the life’s blood of the world. Notorious for disrupting natural gas production or transmission, the formation of natural gas hydrates can cost a company hundreds of millions and lead to catastrophic equipment breakdowns and safety and health hazards. Written by an international group of experts, Natural gas Hydrates in Flow Assurance provide an expert overview of the practice and theory in natural gas hydrates, with applications primarily in flow assurance. Compact and easy to use, the book provides readers with a wealth of materials which include the key lessons learned in the industry over the last 20 years. Packed with field case studies, the book is designed to provide hands-on training and practice in calculating hydrate phase equilibria and plug dissociation. In addition readers receive executable programs to calculate hydrate thermodynamics.

Case studies of hydrates in flow assurance

The key concepts underlying the practical applications

An overview of the state of the art flow assurance industrial developments

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Truth, Knowledge and the Reason for God: The Defense of the Rational Assurance of Christianity

In today’s world there are countless scholarly attacks aimed at Christian truth. In this unique book Mike A. Robinson provides potent and compelling answers that will help you rationally defend the existence of God. Robinson delivers a leading-edge and comprehensive handbook on Christian apologetics for all thinking people.

See my books and Blog at: theLordGodExists.com/

Truth, Knowledge, and the Reason for God is uniquely positioned in the way it presents practical apologetics accessible to the non-scholar while simultaneously challenging the highly trained academician, focusing on fresh and distinctive proof for Christianity.

The author utilizes recent apologetic research as he helps the reader understand that God is the foundation and source of all meaning, facts, and rationality. God is the absolute source to ground knowledge and He has provided a vast collection of proof and evidence that He must exist. God alone is the one who makes rationality and argument possible. Without God, the unbeliever cannot account for anything in the universe including the rational tools used in all argumentation. The atheist, in reality, has no argument.

In this fresh volume you will discover How to:

-Demonstrate the impossibility of atheism
-Intellectually overcome unbelieving philosophy
-Refute aggressive unbelief through persuasive evidence
-Expose the flaws of Stephen Hawking’s Self-created Cosmos hypothesis
-Provide thoughtful answers to the problem of evil
-Apply the newest apologetic research in contending for Christianity.

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Truth, Knowledge and the Reason for God: The Defense of the Rational Assurance of Christianity

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Food Safety and Quality Assurance: Foods of Animal Origin Reviews

Teaches students and practitioners how to: understand the food chain as a single entity, collect and analyze data relevant to investigation of foodborne disease outbreaks, identify human health hazards in foods of animal origin, and principles of safe food.

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Assuring IT Legal Compliance (Assurance Services)

“Assuring IT Legal Compliance” was written with the intent to create quality quick reference material for assurance service practitioners. Therefore, this pocket guide is appropriate for entity employees interested in ensuring, or verifying, IT legal compliance in any industry or geographic location. As for content; Audit Managers, Chief Compliance Officers, Chief Information Officers, Chief Information Security Officers, Auditors, Information Security professionals, and Control Self Assessment personnel will find this pocket guide an informative, and authoritative, IT legal compliance document.”Assuring IT Legal Compliance” was written with the intent to create quality quick reference material for assurance service practitioners. Therefore, this pocket guide is appropriate for entity employees interested in ensuring, or verifying, IT legal compliance in any industry or geographic location. As for content; Audit Managers, Chief Compliance Officers, Chief Information Officers, Chief Information Security Officers, Auditors, Information Security professionals, and Control Self Assessment personnel will find this pocket guide an informative, and authoritative, IT legal compliance document.

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Life, Accident and Health Insurance in the United States

An overview of the life and health insurance business in the United States.

Expand your knowledge on nearly every aspect of the life and health insurance industry in the United States. Ten of thousands of copies of this textbook have been sold to agents and brokers in nearly every state over the past decade.

Objectives
• Review the fundamental principles of life and health insurance.
• Develop basic skills to analyze and determine appropriate coverages.
• Gain insight to the legal concepts of insurance, including contract
provisions, options and benefits. • Be up to date on changes in the Social Security and Medicare Laws.

Major Subjects Covered
• Policy Provisions, Options and Benefits
• Types of Insurance Policies and Coverages.
• Group Insurance, Taxation, and Retirement.
• Business Insurance.An overview of the life and health insurance business in the United States.

Expand your knowledge on nearly every aspect of the life and health insurance industry in the United States. Ten of thousands of copies of this textbook have been sold to agents and brokers in nearly every state over the past decade.

Objectives
• Review the fundamental principles of life and health insurance.
• Develop basic skills to analyze and determine appropriate coverages.
• Gain insight to the legal concepts of insurance, including contract
provisions, options and benefits. • Be up to date on changes in the Social Security and Medicare Laws.

Major Subjects Covered
• Policy Provisions, Options and Benefits
• Types of Insurance Policies and Coverages.
• Group Insurance, Taxation, and Retirement.
• Business Insurance.

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Insurance Law: A Guide to Fundamental Principles, Legal Doctrines and Commercial Practices (Practitioner Treatise) (Hornbook Series)

This treatise shows how principles or doctrines such as insurable interests, designation of insurers, and risk transference apply to property, life, liability, or other types of insurance. It also examines frequently disputed issues and suggests lines of analysis to consider when you and your client become involved in these matters. Includes references to judicial decisions and secondary literature. Also includes Westlaw® queries to help you find the latest insurance case law.

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Insurance Law: A Guide to Fundamental Principles, Legal Doctrines and Commercial Practices (Practitioner Treatise) (Hornbook Series)

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Quality Assurance and Quality Control in the Analytical Chemical Laboratory: A Practical Approach (Analytical Chemistry)

A Practical Tool for Learning New Methods

Quality assurance and measurement uncertainty in analytical laboratories has become increasingly important. To meet increased scrutiny and keep up with new methods, practitioners very often have to rely on self-study. A practical textbook for students and a self-study tool for analytical laboratory employees, Quality Assurance and Quality Control in the Analytical Chemical Laboratory: A Practical Approach defines the tools used in QA/QC, especially the application of statistical tools during analytical data treatment.

Unified Coverage of QA in Analytical Chemistry

Clearly written and logically organized, this book delineates the concepts of practical QA/QC, taking a generic approach that can be applied to any field of analysis. Using an approach grounded in hands-on experience, the book begins with the theory behind quality control systems and then moves on to discuss examples of  tools such as validation parameter measurements, the use of statistical tests, counting the margin of error, and estimating uncertainty. The authors draw on their experience in uncertainty estimation, traceability, reference materials, statistics, proficiency tests, and method validation to provide practical guidance on each step of the process.

Extended Coverage of QC/QA in Analytical and Testing Laboratories

Presenting guidance on all aspects of QA and measurement results, the book covers QC/QA in a more complex and extended manner than other books on this topic. This range of coverage supplies an integrated view on measures like the use of reference materials and method validation. With worked-out examples and Excel spreadsheets that users can use to try the concepts themselves, the book provides not only know-what but know-how.

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Delay, Deny, Defend: Why Insurance Companies Don't Pay Claim and What You Can Do About It

An expose of insurance injustice and a plan for consumers and lawmakers to fight it

Over the last two decades, insurance has become less of a safety net and more of a spider’s web: sticky and complicated, designed to ensnare as much as to aid. Insurance companies now often try to delay payment of justified claims, deny payment altogether, and defend these actions by forcing claimants to enter litigation.

Jay M. Feinman, a legal scholar and insurance expert, explains how these trends developed, how the government ought to fix the system, and what the rest of us can do to protect ourselves. He shows that the denial of valid claims is not occasional or accidental or the fault of a few bad employees. It’s the result of an increasing and systematic focus on maximizing profits by major companies such as Allstate and State Farm.

Citing dozens of stories of victims who were unfairly denied payment, Feinman explains how people can be more cautious when shopping for policies and what to do when pursuing a disputed claim. He also lays out a plan for the legal reforms needed to prevent future abuses. This exposé will help drive the discussion of this increasingly hot- button issue.

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Delay, Deny, Defend: Why Insurance Companies Don’t Pay Claim and What You Can Do About It

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